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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tapering Off Paxil For Anxiety. Feeling Physically Sick. Concerned About Anxiety Coming Back

I have been taking 30mg of Paxil for the past 2 years, and have taken it most of my life despite a time of being off of it while pregnant or a time I tried to take Zoloft instead. I had to stop cold turkey due to not being able to get a new prescription. I m feeling happy, motivated, and like I have woken up from a emotionally numbing coma . However, I m now feeling physically sick. I m concerned it will get worse with time, that my anxiety will come back. I want to know how long it take for this to leave my system, if it s too late to go back on just to wean off of it (I ve only stopped cold turkey for 6 days today), if the happiness and motivation and lack of anxiety is only temporary, if I will physically get more systems before I start to feel normal again?
Mon, 21 Oct 2013
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Ayurveda Specialist 's  Response
**
1. paxil [paroxitenePaxil (paroxetine) is an antidepressant drug of selective serotonin reuptake inhibitors (SSRIs) group] and is used to treat depression, obsessive-compulsive disorder and anxiety, if you have gone for "cold turkey" i.e. abrupt and complete cessation to which you were addicted, thus stopping the drug abruptly and suddenly has followed with unpleasant withdrawal symptoms [feeling sick]
2. because you were taking zoloft [sertraline] which is also an antidepressant of SSRIs group, thus make sure you doesn't have high levels of SEROTONIN in the body, features of which to look out are: agitation,hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination,
fainting. [call your doctor for medical advice about side effects].
3. after quitting Paxil completely, it takes on average almost a full year for the body to recover because Paxil itself remains in the body for less than 24 hours, that's why if you miss a dose you feel terrible. [ it does so much dammage to the body and brains that you feel the withdrawal effects for months and sometimes years]

PS
i. because the body does undergo changes as a result of antidepressant treatment [2 years], so when you stop the medication, your body has to change back to its prior state and the transition can involve some of the distress you describe, solution is taper the drug very,very slowly.
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Tapering Off Paxil For Anxiety. Feeling Physically Sick. Concerned About Anxiety Coming Back

** 1. paxil [paroxitenePaxil (paroxetine) is an antidepressant drug of selective serotonin reuptake inhibitors (SSRIs) group] and is used to treat depression, obsessive-compulsive disorder and anxiety, if you have gone for cold turkey i.e. abrupt and complete cessation to which you were addicted, thus stopping the drug abruptly and suddenly has followed with unpleasant withdrawal symptoms [feeling sick] 2. because you were taking zoloft [sertraline] which is also an antidepressant of SSRIs group, thus make sure you doesn t have high levels of SEROTONIN in the body, features of which to look out are: agitation,hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. [call your doctor for medical advice about side effects]. 3. after quitting Paxil completely, it takes on average almost a full year for the body to recover because Paxil itself remains in the body for less than 24 hours, that s why if you miss a dose you feel terrible. [ it does so much dammage to the body and brains that you feel the withdrawal effects for months and sometimes years] PS i. because the body does undergo changes as a result of antidepressant treatment [2 years], so when you stop the medication, your body has to change back to its prior state and the transition can involve some of the distress you describe, solution is taper the drug very,very slowly.